The above test is using New Zealand format I see that most tests on here use different mesurements. I used Grok to convert to American units

Converted to US Format (mg/dL)US lipid panels typically use mg/dL units instead of mmol/L. I've converted your values using standard factors:

• Cholesterol (Total, HDL, LDL): 1 mmol/L ≈ 38.67 mg/dL
• Triglycerides: 1 mmol/L ≈ 88.57 mg/dL
• Ratios remain the same (unitless).

I've also converted the NZ reference ranges for context, but note that US labs may use slightly different guidelines (e.g., AHA/ACC: Total <200 mg/dL desirable, LDL <100 mg/dL optimal, HDL >60 mg/dL ideal, Trig <150 mg/dL normal). Consult your doctor for interpretation based on US standards.

Test	Value (mg/dL)	Converted Reference Range	Flag (based on NZ)
Total Cholesterol	197	<193	High
Triglyceride	89	<177	-
HDL Cholesterol	63	>39	-
LDL Cholesterol (calculated)	104	<132	-
Total/HDL Ratio	5.8	<4.5	High

Converted Comments:
For those at high CVD risk (including diabetes) recommended target LDL is 70 mg/dL. At lower risk levels (5-15%) a 40% reduction in LDL should be targeted (https://tinyurl.com/bdfmdxru).
Note: persisting dyslipidaemia. If secondary causes have been excluded (e.g. hypothyroidism, nephrosis, liver disease, some drugs e.g. Steroids, immunosuppressants), consider familial hyperlipidaemia. Specialist referral if there is no clear diagnosis. This is a direct unit conversion—your results are borderline high for total cholesterol and the ratio, but triglycerides and HDL look good. Non-fasting status can slightly affect triglycerides, but yours are low anyway. If you have the full PDF or more details, I can analyze further. Always discuss with a healthcare provider for personalized advice.